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Friday, 10 July 2026

CASE 914: INVERTED PAPILLOMA: Dr PHAN THANH HẢI, Dr TRƯƠNG THỊ NGỌC TIẾN, MEDIC MEDICAL CENTER, HCMC, VIETNAM.

 A  63 year-old woman with dizziness and headache in general check-up. She went up a right nephrectomy ten years ago. She denied hematuria and using any chemical agent or smoking.

Ultrasound detected a # 9x6mm small nodule at the  triangle of urinary bladder which was nearby the orifice of the left ureter.


Bladder endoscopy confirmed the bladder tumor on the left side.

 
Result of biopsy was an uroepithelial carcinoma.


MSCT noted the removed right kidney and a papilloma of the urinary bladder.



Endoscopic heated resection of the tumor and bladder irrigation were done for the female patient.



The last diagnosis was an inverted papilloma.

In this case the SWE ultrasound technique was not applied. SWE could predict the malignancy and tumor staging by evaluation the stiffness of the tumor and the invasion through the detrusor muscular layer of the bladder. But it is still rarely published paper on this topic nowadays.